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Published on: May 16, 2019
Low serum copper and zinc concentrations in North Indian children with overweight and obesity
Singh Malik Vivek1,2, Devi Dayal2, Ravindra Khaiwal1
1Department of Community Medicine and School of Public Health, Chandigarh, India
Insights
Children with obesity have significantly lower serum and whole blood levels of copper and zinc compared to non-obese children. These findings suggest a potential link between these essential minerals and childhood obesity development.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Biochemistry
Background:
- Obesity in children is a growing concern with complex etiologies.
- Alterations in essential mineral levels, specifically copper and zinc, have been hypothesized to play a role in obesity.
- Limited data exist on the specific associations between serum copper and zinc levels and childhood obesity.
Purpose of the Study:
- To investigate and compare serum and whole blood concentrations of copper and zinc in obese versus non-obese children.
- To determine if there is a significant difference in copper and zinc levels between these two groups.
- To explore potential correlations between these mineral levels and anthropometric parameters in children.
Main Methods:
- A cohort of 173 children was divided into overweight/obese (n=69) and non-obese (n=104) groups based on CDC 2000 growth charts.
- Serum and whole blood samples were analyzed for copper and zinc concentrations using inductively coupled plasma mass spectrometry (ICP-MS).
- Copper/zinc ratios were calculated and analyzed in relation to various anthropometric measurements.
Main Results:
- Obese children exhibited significantly higher Body Mass Index (BMI) compared to non-obese children (p < 0.0001).
- Mean serum copper, serum zinc, whole blood copper, and whole blood zinc levels were all significantly lower in the obese group compared to the non-obese group (p < 0.001 for all).
- Specific mean values and confidence intervals for each measurement demonstrated statistically significant differences between the groups.
Conclusions:
- Serum and whole blood concentrations of both zinc and copper are significantly reduced in children with exogenous obesity.
- These findings highlight a potential role for copper and zinc deficiencies in the development of childhood obesity.
- Further research is recommended to elucidate the underlying mechanisms and explore the relationship with obesity comorbidities.
Introduction:
There are limited data on the alterations of serum copper and zinc, which have been proposed to have associations among children with obesity.
Material And Methods:
A total of 173 children were enrolled and grouped into overweight/obese (n = 69) and non-obese (n = 104) according to CDC 2000 growth charts. Serum and whole blood zinc and copper concentrations were measured by validated ICP-MS method, and copper/zinc ratios were calculated and correlated to various anthropometric parameters.
Results:
Mean BMI in obese (24.78 ±3.93) was significantly higher as compared to non-obese (16.44 ±2.34; p < 0.0001, 95% CI: 15.9873-16.8998) children. Mean serum copper levels in obese children (1099.80 ±478.67 µg/l) were significantly lower than for non-obese children (2063.77 ±1006.81 µg/l; p = 0.0001, 95% CI: 1867.9755-2259.5755). Similarly, the mean serum zinc levels in obese children (851.53 ±406.33 µg/l) were also significantly lower as compared to non-obese children (1528.72 ±796.82 µg/l; p = 0.0001, 95% CI: 1373.76-1683.6879). Mean whole blood copper levels were significantly lower in obese (929.56 ±200.15 µg/l) as compared to non-obese (1393.22 ±861.92 µg/l; p = 0.0001, 95% CI: 1225.6023-1560.8481) children. Similarly, the mean whole blood zinc levels in obese (4384.11 ±881.87 µg/l) were also significantly lower as compared to non-obese (5380.14 ±2236.77 µg/l; p = 0.001, 95% CI: 4945.1491-5815.1416) children.
Conclusions:
The serum and whole blood concentrations of zinc and copper were found to be significantly lower in children with exogenous obesity as compared to controls. Additional investigations are recommended to see the underlying aspect of these elements in the development of obesity along with their co-morbidities.
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